Masui. The Japanese journal of anesthesiology
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Fibrinogen replacement therapy con- tributes to effective hemostasis and saving blood trans- fusions in critical hemorrhage. We retrospectively studied the efficacy and indication for cryoprecipitate or fibrinogen concentrate in thoracic aortic surgery. ⋯ The fibrinogen amount of 2-3 g (per 50-70 kg in body weight) in cryoprecipitate or fibrino- gen concentrate effectively reduces postoperative bleeding and perioperative blood transfusions when a fibrinogen level is less than 100-130 mg · dl⁻¹ during cardiopulmonary bypass.
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In the mid 18th century, Monro, Kite, and others stared to perform tracheal intubation during cardiopul- monary resuscitation. In 1790's, it was found that tra- cheal intubation using Kite's device and method was technically difficult and, because of the design of the tube, an inserted tube might frequently obstruct the airway. ⋯ In addition, Leroy invented a device to facilitate tracheal intubation. Despite these efforts, tracheal intubation during cardiopulmonary resuscitation was abandoned afterwards because of "unexpected" reasons.
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Historical Article
[History of Resuscitation: 1. Development of Resuscitation in the Mid-18 Century-1 : Establishment of Humane Societies and List of Literature].
In the mid-18th century, a growing number of peo- ple started to attempt resuscitation of "apparently dead" people as a result of drowning or other causes, and humane societies were established in Holland, Brit- ain, and other European countries. In this article, I describe a history of those humane societies and pro- vide an extensive list of literature related to resuscita- tion published from the mid-18th century to 1820's.
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Historical Article
[History of Resuscitation: 2. Development of Resuscitation in the Mid-18 Century-2 : Background of Development of Resuscitation and Rescue Methods].
In the mid-18th century, a growing number of peo- ple started to attempt resuscitation of "apparently dead" people as a result of drowning or other causes. In this article, I describe the background for this movement (which was likely to be related to a fear of being buried alive and of being dissected alive). I also describe a historical development of rescue methods of drowned people.
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Regional anesthesia for lower limb surgery not only provides satisfactory analgesia, but also improves the overall postoperative outcome with less postoperative nausea and vomiting by decreasing the opioid con- sumption, encouraging early postoperative mobility. Therefore, high-quality anesthesia and postoperative analgesia accelerate the rehabilitation process and shorten the hospital stay. ⋯ In the decades to come, we hope to obtain more established evidence supporting the utility of ultra- sound-guided techniques for lower extremity nerve blocks based on high-quality clinical studies. These findings may support the development of sustained- release formulation local anesthetics and new devices or techniques in the future.